Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Canyon Creek Family Dentistry, PA

Organization General Practice Dentistry · NPI 1659502730

Canyon Creek Family Dentistry, PA provides General Practice Dentistry in Richardson, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2091 N Collins Blvd Ste 100
Richardson, TX 75080-2636 Not confirmed with CMS for 17 years — call before visiting
Phone: (972) 644-3800
Fax: (972) 644-3888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 20074 (TX)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 24260 (TX)

Record details

NPI number1659502730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Afshin Azmoodeh — President · (972) 644-3800
NPI enumeratedAugust 6, 2009
Last updated in NPPESAugust 6, 2009
Mailing address2091 N Collins Blvd Ste 100, Richardson, TX 75080-2636

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